WORKERS’ COMPENSATION PHARMACEUTICALS

2020 EDITION

BRAND TO GENERIC REFERENCE GUIDE

myMatrixx.com I 877-804-4900

T his guide provides information on some of the most commonly prescribed medications in workers’

compensation. The list includes medications for which a generic equivalent is available and is arranged alphabetically by brand name. Listed with each medication is the brand name and the generic equivalent.

Some products may no longer be available as a result of discontinuations, and some new products may have been added after this guide was published.

This guide is not intended and should not be used or relied upon for the purposes of prescribing or using a product. It is solely for reference purposes. For possible alternatives to commonly prescribed high-cost medications, please see our companion Prior Authorization and High Dollar Rejections Guide. The trademarks and other product names listed in this guide are the property of their respective companies.

Introduction

Brand to Generic

Brand Name Generic Drug Name

3

Abilify Aripiprazole Tablet

Accupril Quinapril Tablet

Aceon Perindopril Erbumine Tablet

AcipHex Rabeprazole Sodium Delayed Release Tablet

Actiq Fentanyl Citrate Lozenge

Acular, Acular LS Ketorolac Tromethamine Ophthalmic Solution

Adalat CC Nifedipine Extended Release Tablet

Adderall, Adderall XR Dextroamphetamine and Amphetamine Tablet, Extended Release Capsule

Adipex-P Phentermine Tablet

Adoxa Doxycycline Monohydrate Tablet, Capsule

Advair Diskus Fluticasone Propionate and Salmeterol Inhalation Powder

Advil Ibuprofen Tablet, Capsule, Oral Suspension

Aggrenox Aspirin and Dipyridamole Extended Release Capsule

Aldactone Spironolactone Tablet

Aleve Naproxen Sodium Tablet, Capsule

Brand to Generic

Brand Name Generic Drug Name

4

Allegra Fexofenadine Hydrochloride Tablet

Allegra-D Fexofenadine Hydrochloride and Pseudoephedrine Tablet

Alphagan P Brimonidine Tartrate Ophthalmic Solution

Altace Ramipril Capsule

Ambien, Ambien CR Zolpidem Tartrate Tablet, Extended Release Tablet

Amerge Naratriptan Hydrochloride Tablet

Amrix Cyclobenzaprine Hydrochloride Extended Release Capsule

Anaprox DS Naproxen Sodium Tablet

AndroGel Testosterone Gel

Aricept Donepezil Hydrochloride Tablet

Arixtra Fondaparinux Sodium Injection Solution

Arthrotec Diclofenac Sodium and Misoprostol Delayed Release Tablet

Astepro Azelastine Hydrochloride Nasal Solution

Atacand Candesartan Cilexetil Tablet

Brand to Generic

Brand Name Generic Drug Name

5

Atacand HCT Candesartan Cilexetil and Hydrochlorothiazide Tablet

Ativan Lorazepam Tablet

Augmentin, Augmentin XR Amoxicillin and Clavulanate Potassium Tablet, Oral Suspension, Extended Release Tablet

Avalide Irbesartan and Hydrochlorothiazide Tablet

Avapro Irbesartan Tablet

Avelox Moxifloxacin Hydrochloride Tablet

Axid Nizatidine Capsule

Azor Amlodipine Besylate and Olmesartan Medoxomil Tablet

Bactrim, Bactrim DS Sulfamethoxazole and Trimethoprim Tablet

Bactroban Mupirocin Calcium Cream, Ointment

Bayer Aspirin Aspirin Tablet

Benadryl Allergy Diphenhydramine Hydrochloride Tablet, Capsule, Cream

Bengay Combinations of Menthol, Methyl Salicylate, and Camphor Cream, Gel, Patch

Benicar Olmesartan Medoxomil Tablet

Brand to Generic

Brand Name Generic Drug Name

6

Benicar HCT Olmesartan Medoxomil and Hydrochlorothiazide Tablet

Bentyl Dicyclomine Hydrochloride Capsule

Betapace, Betapace AF Sotalol Hydrochloride Tablet

Bumex Bumetanide Tablet

Caduet Amlodipine Besylate and Atorvastatin Calcium Tablet

Calan, Calan SR Verapamil Hydrochloride Tablet, Extended Release Tablet

Carafate Sucralfate Tablet

Carbatrol Carbamazepine Extended Release Capsule

Cardizem, Cardizem CD, Cardizem LA

Diltiazem Hydrochloride Tablet, Extended Release Capsule, Extended Release Tablet

Cardura Doxazosin Mesylate Tablet

Catapres Clonidine Hydrochloride Tablet

Catapres-TTS Clonidine Transdermal Patch

Celebrex Celecoxib Capsule

Celexa Citalopram Tablet

CellCept Mycophenolate Mofetil Capsule

Cialis Tadalafil Tablet

Brand to Generic

Brand Name Generic Drug Name

7

Ciloxan Ciprofloxacin Hydrochloride Ophthalmic Solution

Cipro, Cipro XR Ciprofloxacin Hydrochloride Tablet, Extended Release Tablet, Oral Suspension

Clarinex Desloratadine Tablet

Claritin Loratadine Tablet, Capsule

Cleocin Clindamycin Hydrochloride Capsule

Colace Docusate Sodium Capsule

Constulose Lactulose Oral Solution

Coreg, Coreg CR Carvedilol Phosphate Tablet, Extended Release Capsule

Corgard Nadolol Tablet

Cortef Hydrocortisone Tablet

Cosopt Dorzolamide Hydrochloride and Timolol Maleate Ophthalmic Solution

Coumadin Warfarin Sodium Tablet

Cozaar Losartan Potassium Tablet

Crestor Rosuvastatin Calcium Tablet

Cubicin Daptomycin Injection

Cyclogyl Cyclopentolate Hydrochloride Ophthalmic Solution

Brand to Generic

Brand Name Generic Drug Name

8

Cymbalta Duloxetine Hydrochloride Delayed Release Capsule

Cytotec Misoprostol Tablet

Dantrium Dantrolene Sodium Capsule

Daypro Oxaprozin Tablet

Decadron Dexamethasone Tablet

Demadex Torsemide Tablet

Demerol Meperidine Hydrochloride Tablet

Depakene Valproic Acid Capsule, Oral Solution

Depakote, Depakote ER, Depakote Sprinkles

Divalproex Sodium Delayed Release Capsule, Extended Release Tablet

Depo-Testosterone Testosterone Cypionate Injection

Detrol, Detrol LA Tolterodine Tartrate Tablet, Extended Release Capsule

Diamox Acetazolamide Tablet, Extended Release Capsule

Diflucan Fluconazole Tablet

Dilantin Phenytoin Sodium Capsule

Dilaudid Hydromorphone Hydrochloride Tablet

Diovan Valsartan Tablet

Brand to Generic

Brand Name Generic Drug Name

9

Diovan HCT Valsartan and Hydrochlorothiazide Tablet

Ditropan XL Oxybutynin Chloride Extended Release Tablet

Dolophine Methadone Hydrochloride Tablet

Dulcolax Laxative Bisacodyl Tablet, Suppository

Dulcolax Stool Softener Docusate Sodium Capsule

Duragesic Fentanyl Transdermal Patch

Dyazide Triamterene and Hydrochlorothiazide Capsule

EC-Naprosyn Naproxen Delayed Release Tablet

Ecotrin Aspirin Tablet

Effexor XR Venlafaxine Hydrochloride Extended Release Capsule

Effient Prasugrel Hydrochloride Tablet

Elavil Amitriptyline Hydrochloride Tablet

Elimite Permethrin Cream

Enablex Darifenacin Extended Release Tablet

Esgic Butalbital, Acetaminophen and Caffeine Tablet, Capsule

Brand to Generic

Brand Name Generic Drug Name

10

Exalgo Hydromorphone Hydrochloride Extended Release Tablet

Excedrin Migraine, Excedrin Extra Strength

Aspirin, Acetaminophen and Caffeine Tablet

Exforge Amlodipine Besylate and Valsartan Tablet

Exforge HCT Amlodipine Besylate, Valsartan and Hydrochlorothiazide Tablet

Feldene Piroxicam Capsule

Ferrex 150 Polysaccharide Iron Complex Capsule

Fexmid Cyclobenzaprine Hydrochloride Tablet

Fibercon Calcium Polycarbophil Tablet

Fioricet Butalbital, Acetaminophen and Caffeine Capsule

Fioricet with Codeine Butalbital, Acetaminophen, Caffeine and Codeine Capsule

Fiorinal Butalbital, Aspirin and Caffeine Capsule

Fiorinal with Codeine Butalbital, Aspirin, Caffeine and Codeine Capsule

Flagyl Metronidazole Tablet, Capsule

Flexeril Cyclobenzaprine Hydrochloride Tablet

Brand to Generic

Brand Name Generic Drug Name

11

Flomax Tamsulosin Hydrochloride Capsule

Flonase Fluticasone Propionate Nasal Spray

FML Liquifilm Fluorometholone Ophthalmic Suspension

Focalin, Focalin XR Dexmethylphenidate Hydrochloride Tablet, Extended Release Capsule

Fosamax Alendronate Sodium Tablet

Frova Frovatriptan Succinate Tablet

Gabitril Tiagabine Hydrochloride Tablet

Geodon Ziprasidone Hydrochloride Capsule

Glucophage, Glucophage XR Metformin Hydrochloride Tablet, Extended Release Tablet

Glucotrol, Glucotrol XL Glipizide Tablet, Extended Release Tablet

Halcion Triazolam Tablets

Hibiclens Chlorhexidine Gluconate Topical Solution

Hiprex Methenamine Hippurate Tablet

Hyzaar Losartan and Hydrochlorothiazide Tablet

Ibudone Hydrocodone Bitartrate and Ibuprofen Tablet

Brand to Generic

Brand Name Generic Drug Name

12

Imdur Isosorbide Mononitrate Tablet

Imitrex Sumatriptan Succinate Tablet, Injection, Nasal Spray

Inderal LA Propranolol Hydrochloride Extended Release Capsule

Inspra Eplerenone Tablet

Intermezzo Zolpidem Tartrate Sublingual Tablet

Jantoven Warfarin Sodium Tablet

Kadian Morphine Sulfate Extended Release Capsule

Keflex Cephalexin Capsule

Keppra, Keppra XR Levetiracetam Tablet, Extended Release Tablet

Klonopin Clonazepam Tablet

Lamictal, Lamictal ODT, Lamictal XR

Lamotrigine Tablet, Orally Disintegrating Tablet, Extended Release Tablet

Lanoxin Digoxin Tablet

Lasix Furosemide Tablet

Lescol, Lescol XL Fluvastatin Sodium Tablet, Extended Release Tablet

Levaquin Levofloxacin Tablet

Levitra Vardenafil Tablet

Lexapro Escitalopram Oxalate Tablet

Brand to Generic

Brand Name Generic Drug Name

13

Lidoderm Lidocaine Topical Patch

Lipitor Atorvastatin Calcium Tablet

Lodine Etodolac Tablet

Lomotil Diphenoxylate Hydrochloride and Atropine Sulfate Tablet

Lopid Gemfibrozil Tablet

Lopressor Metoprolol Tartrate Tablet

Lotensin Benazepril Hydrochloride Tablet

Lotensin HCT Benazepril Hydrochloride and Hydrochlorothiazide Tablet

Lotrel Amlodipine Besylate and Benazepril Hydrochloride Capsule

Lovaza Omega-3-Acid Ethyl Esters Capsule

Lovenox Enoxaparin Sodium Injection

Lunesta Eszopiclone Tablet

Lyrica Pregabalin Capsule, Oral Solution

Macrobid Nitrofurantoin Monohydrate Macrocrystals Capsule

Macrodantin Nitrofurantoin Macrocrystals Capsule

Marinol Dronabinol Capsule

Brand to Generic

Brand Name Generic Drug Name

14

Maxalt, Maxalt-MLT Rizatriptan Benzoate Tablet, Orally Disintegrating Tablet

Maxitrol Neomycin Sulfate, Polymyxin B Sulfate and Dexamethasone Ophthalmic Ointment and Ophthalmic Suspension

Maxzide Triamterene and Hydrochlorothiazide Tablet

Medrol Methylprednisolone Tablet

Micardis Telmisartan Tablet

Micardis HCT Telmisartan and Hydrochlorothiazide Tablet

Minipress Prazosin Hydrochloride Capsule

Minocin Minocycline Hydrochloride Capsule

MiraLax Polyethylene Glycol 3350 Powder

Mirapex Pramipexole Dihydrochloride Monohydrate Tablet

Mobic Meloxicam Tablet

MS Contin Morphine Sulfate Extended Release Tablet

Mucinex Guaifenesin Extended Release Tablet

Myfortic Mycophenolic Acid Delayed Release Tablet

Brand to Generic

Brand Name Generic Drug Name

15

Mysoline Primidone Tablet

Namenda, Namenda XR Memantine Hydrochloride Tablet, Extended Release Capsule

Naprelan Naproxen Sodium Extended Release Tablet

Naprosyn Naproxen Tablet

Nasonex Mometasone Furoate Monohydrate Nasal Spray

Neurontin Gabapentin Tablet, Capsule

Nexium Esomeprazole Magnesium Delayed Release Capsule

Niaspan Niacin Extended Release Tablet

Nitrolingual Nitroglycerin Lingual Spray

NitroMist Nitroglycerin Lingual Spray

Nitrostat Nitroglycerin Sublingual Tablet

Norco Hydrocodone Bitartrate and Acetaminophen Tablet

Norpramin Desipramine Hydrochloride Tablet

Norvasc Amlodipine Besylate Tablet

Nuvigil Armodafinil Tablet

Ocuflox Ofloxacin Ophthalmic Solution

Omnipred Prednisolone Acetate Ophthalmic Suspension

Brand to Generic

Brand Name Generic Drug Name

16

Opana Oxymorphone Hydrochloride Tablet

Pacerone Amiodarone Hydrochloride Tablet

Pamelor Nortriptyline Hydrochloride Capsule

Paroex Chlorhexidine Gluconate Oral Rinse

Pataday, Patanol Olopatadine Hydrochloride Ophthalmic Solution

Paxil, Paxil CR Paroxetine Hydrochloride Tablet, Extended Release Tablet

Pepcid Famotidine Tablet

Percocet Oxycodone Hydrochloride and Acetaminophen Tablet

Phenadoz, Phenergan, Promethegan

Promethazine Hydrochloride Tablet, Suppository

Plaquenil Hydroxychloroquine Sulfate Tablet

Plavix Clopidogrel Bisulfate Tablet

Polytrim Polymyxin B Sulfate and Trimethoprim Sulfate Ophthalmic Solution

Pravachol Pravastatin Sodium Tablet

Prevacid, Prevacid 24HR, Prevacid SoluTab

Lansoprazole Delayed Release Capsule, Orally Disintegrating Tablet

Brand to Generic

Brand Name Generic Drug Name

17

Prilosec, Prilosec OTC Omeprazole Magnesium Delayed Release Capsule, Delayed Release Tablet

Prinivil Lisinopril Tablet

Pristiq Desvenlafaxine Succinate Extended Release Tablet

Procardia, Procardia XL Nifedipine Capsule, Extended Release Tablet

Prograf Tacrolimus Capsule

Proscar Finasteride Tablet

Protonix Pantoprazole Sodium Delayed Release Tablet

Provigil Modafinil Tablet

Prozac Fluoxetine Hydrochloride Capsule

Pulmicort Budesonide Inhalation Suspension

Qualaquin Quinine Sulfate Capsule

Questran Cholestyramine Resin Oral Suspension Powder

Rapamune Sirolimus Tablet

Refresh Eye Drops Artificial Tears

Reglan Metoclopramide Hydrochloride Tablet

Relpax Eletriptan Hydrobromide Tablet

Brand to Generic

Brand Name Generic Drug Name

18

Remeron, Remeron SolTab Mirtazapine Tablet, Orally Disintegrating Tablet

Requip, Requip XL Ropinirole Hydrochloride Tablet, Extended Release Tablet

Restoril Temazepam Capsule

Rifadin Rifampin Capsule

Risperdal Risperidone Tablet

Ritalin, Ritalin LA Methylphenidate Hydrochloride Tablet, Extended Release Capsule

Robaxin Methocarbamol Tablet

Roxicodone Oxycodone Hydrochloride Tablet

Rythmol, Rythmol SR Propafenone Hydrochloride Tablet, Extended Release Capsule

Seroquel, Seroquel XR Quetiapine Fumarate Tablet, Extended Release Tablet

Silenor Doxepin Hydrochloride Tablet

Silvadene Silver Sulfadiazine Topical Cream

Sinemet, Sinemet CR Carbidopa and Levodopa Tablet, Extended Release Tablet

Singulair Montelukast Sodium Tablet, Chewable Tablet, Oral Packet

Skelaxin Metaxalone Tablet

Brand to Generic

Brand Name Generic Drug Name

19

Soma Carisoprodol Tablet

Sonata Zaleplon Capsule

Stromectol Ivermectin Tablet

Suboxone Buprenorphine Hydrochloride and Naloxone Hydrochloride Sublingual Film

Synthroid Levothyroxine Sodium Tablet

Systane, Systane Ultra Artificial Tears

Tagamet Cimetidine Tablet

Tamiflu Oseltamivir Phosphate Capsule, Oral Suspension

Tegretol, Tegretol-XR Carbamazepine Tablet, Chewable Tablet, Oral Suspension

Temovate Clobetasol Propionate Topical Cream, Gel, Ointment

Tenormin Atenolol Tablet

Tessalon Perles Benzonatate Capsule

Tiazac Diltiazem Hydrochloride Extended Release Capsule

Tikosyn Dofetilide Capsule

Timoptic, Timoptic-XE Timolol Maleate Ophthalmic Solution, Ophthalmic Gel

Brand to Generic

Brand Name Generic Drug Name

20

TobraDex Tobramycin and Dexamethasone Ophthalmic Suspension

Tobrex Tobramycin Ophthalmic Solution

Tofranil Imipramine Hydrochloride Tablet

Topamax, Topamax Sprinkle Topiramate Tablet, Sprinkle Capsule

Toprol XL Metoprolol Succinate Extended Release Tablet

Tranxene T-Tab Clorazepate Dipotassium Tablet

Tribenzor Olmesartan Medoxomil, Amlodipine Besylate and Hydrochlorothiazide Tablet

TriCor Fenofibrate Tablet

Triderm Triamcinolone Acetonide Topical Cream

Trileptal Oxcarbazepine Tablet, Oral Suspension

Trilipix Fenofibric Acid Delayed Release Capsule

Trusopt Dorzolamide Hydrochloride Ophthalmic Solution

Tylenol Acetaminophen Tablet, Capsule

Brand to Generic

Brand Name Generic Drug Name

21

Tylenol with Codeine #3, #4 Acetaminophen and Codeine Phosphate Tablet

Ultracet Tramadol Hydrochloride and Acetaminophen Tablet

Ultram, Ultram ER Tramadol Hydrochloride Tablet, Extended Release Tablet

Urecholine Bethanechol Chloride Tablet

Valium Diazepam Tablet

Valtrex Valacyclovir Hydrochloride Tablet

Vanos Fluocinonide Topical Cream

Vasotec Enalapril Maleate Tablet

Verelan, Verelan PM Verapamil Hydrochloride Extended Release Capsule

Viagra Sildenafil Citrate Tablet

Vibramycin Doxycycline Hyclate Capsule

Vicodin, Vicodin ES, Vicodin HP

Hydrocodone Bitartrate and Acetaminophen Tablet

Vigamox Moxifloxacin Hydrochloride Ophthalmic Solution

Vistaril Hydroxyzine Pamoate Capsule

Voltaren Gel Diclofenac Sodium Topical Gel

Vytorin Ezetimibe and Simvastatin Tablet

Brand to Generic

Brand Name Generic Drug Name

22

Wellbutrin SR, Wellbutrin XL Bupropion Hydrochloride Extended Release Tablet

Xalatan Latanoprost Ophthalmic Solution

Xanax, Xanax XR Alprazolam Tablet, Extended Release Tablet

Xopenex Levalbuterol Hydrochloride Nebulization Solution

Xyzal Levocetirizine Dihydrochloride Tablet

Zanaflex Tizanidine Hydrochloride Tablet, Capsule

Zantac Ranitidine Tablet

Zegerid Omeprazole and Sodium Bicarbonate Capsule, Powder for Oral Suspension

Zestoretic Lisinopril and Hydrochlorothiazide Tablet

Zestril Lisinopril Tablet

Zetia Ezetimibe Tablet

Ziac Bisoprolol Fumarate and Hydrochlorothiazide Tablet

Zithromax Azithromycin Dihydrate Tablet, Oral Suspension

Zocor Simvastatin Tablet

Brand to Generic

Brand Name Generic Drug Name

23

Zofran, Zofran ODT Ondansetron Hydrochloride Tablet, Oral Solution, Orally Disintegrating Tablet

Zoloft Sertraline Hydrochloride Tablet, Oral Solution

Zomig, Zomig ZMT Zolmitriptan Tablet, Orally Disintegrating Tablet

Zonegran Zonisamide Capsule

Zovirax Acyclovir Tablet, Capsule, Oral Suspension, Topical Ointment

Zyloprim Allopurinol Tablet

Zyprexa, Zyprexa Zydis Olanzapine Tablet, Orally Disintegrating Tablet

Zyrtec Cetirizine Hydrochloride Tablet, Capsule

Zyvox Linezolid Tablet

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